手术治疗Dupuytren骨折21例疗效分析

Practicable analysis of operational treatment on 21 cases with dupuytren fracture

目的探讨Dupuytren骨折的诊断及治疗方法。方法21例确诊患者均行腓骨解剖复位1／3圆管形钢板内固定，下胫腓联合、内踝复位后用加压空心螺纹钉固定。术后随访，观察其临床疗效。结果术后平均随访18．6个月，根据MeYer和Kumler的踝关节功能评估标准，对术后疗效进行评价，21例中优11例，良6例，一般3例，差1例，总体优良累计17例，优良率为80．85％。结论对于DupuytYen骨折，早期准确的诊断和正确的外科治疗是恢复踝关节良好功能的关键。

Objective To study the diagnosis and treatment methods of Dupuytren fracture. Methods There were 21patients（13 male, 8 female）with an average age of 37.6 years（ranging from 19-54 years） including 14 cases with left ankle injury and 7 cases with right ankle injury; these 21 cases included 10cases suffered from strain injury, 4 from falling injury, 7 from traffic accident; there were altogether 3 cases with open injury, 18 with closed injury. 18 cases were diagnosed by anterior and lateral X-ray, 3 cases were diagnosed by contrast the bimalleolar stressing X-ray. All the patients were treated with fibula open reducted anatomically and fixed by 1/3 tubular plate. The syndesmosis and interns] malleolar fracture were fixed by compression hollow screw after reduction. Results when the patients were evaluated by the criteria of Meyer and Kumler, a mean follow-up of 18.6 months reveated that excellent results occurred in ii injuries, good in 6, fair in 3, and poor in i. The total excellent and good results were 17（80.85%） .Conclusions Earlier, accurate diagnosis and surgical treatment for Dupuytren fracture is the key to the recovery function of ankle joint.